Individual provider Active NPI

Gregory Lund Chin, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1699763227
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3283TX Issued in WA
Practice address
677 S Jackson St
Seattle, WA 98104-2928
Phone
(206) 623-1100
Fax
(206) 624-0463
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3283TX WA Primary

Addresses

Primary practice location

677 S Jackson St
Seattle, WA 98104-2928

Mailing address

677 S Jackson St
Seattle, WA 98104-2928
Phone (206) 623-1100

Other identifiers 1

IdentifierTypeStateIssuer
2019933MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000492 WA Practitioner - Optometry 2668361395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Vision Clinic IncGroup PAC ID 7517856222, 3 clinicians

Practice addresses (Care Compare)

677 S Jackson St
Seattle, WA 98104-2928
Phone (206) 623-1100

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3283TXWAMDOptometrist
3283TXMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Vision Clinic Inc Optometrist CurrentSince Oct 1, 1996 Accepting new patients

Locations

677 S Jackson St
Seattle, WA 98104
Phone (206) 623-1100

Interoperability endpoints

  • Direct secure messaging: gregchin@seattlevisionclinic.eyeclinicdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1699763227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 S JACKSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042928",
            "telephone_number": "206-623-1100",
            "fax_number": "206-624-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 S JACKSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042928",
            "telephone_number": "206-623-1100",
            "fax_number": "206-624-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "GREGORY",
        "middle_name": "LUND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3283TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019933",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.